FA GI Flashcards
What is a ranula?
Pseudocyst of major salivary clans
Blue swelling on floor of mouth
Immunocompromised person with odynophagia, what should be on differential?
Candiadasis
Treat CMV
Ganciclovir
Candida esophagitis is
AIDS defining illness
Muscle of oesophagus?
Upper = skeletal
Lower 2/3 = smooth
What is affected in achalasia?
Myenteric plexus
Treat achlasia
Heller’s myotomy
Which hiatal hernias need surgery no matter what?
Paraoeophageal
Major risk factor for adenocarcinoma of esophagus
Barrett
One unit of RBCs should increase hemoglobin by how much?
1g/dL
How do you diagnose esophageal cancer?
HAS TO BE BIOPSY
Upper GI bleeding diagnosis
NG tube and lavage, endoscopy is definitive
Lower GI bleeding diagnosis
Anoscopy, sigmoid <45
Colonoscopu
What is a Dieulafoy lesion?
Anatomical variant of a submucosal arteriole in the stomach wall
Painless bleeding from unidentifiable source
EGD!
Dyspepsia who gets endoscopy?
> 60
<60 Those with red flag symptoms
Type A vs B gastritis
Fundus (autoimmune) vs antrum (NSAIDS, H pylori)
Diagnostic test for gastritis
Endoscopy
Test of cure for H pylori?
Urea breath or stool, antibodies will stay +
Curling ulcers
Burns
Cushing ulcers
ICP
In order for a stool antigen test to be accurate…
Off PPI for 2 weeks
What malignancy can be cured with antibiotics?
MALT lymphoma (because caused by H pylori)
Perforated ulcer first step
XRAY abdomen
ZE syndrome diagnosis
Gastrin levels >1000, increase in gastrin with secretin, pH <2
ZE triad
Diarrhoea
Hypercalcemia from hyperparathyroid
Epigastric pain (ulcer)
Anterior ulcers
Perforate
Posterior ulcers
Bleed
Gastroduodenal artery
Menetrier disease?
Large gastric folds due to hyperplasia of gastric mucosa and reduced gastric acid secretion
Secretory diarrhoea cause
VIPoma, carcinoid tumour
Low osmotic gap diarrhoea
Secretory
(bacteria)